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Varicose Veins Specialist

Vascular Surgery Medical Group

Vascular and Endovascular Surgery & Venous Physicians located in San Leandro, CA & San Ramon, CA

An estimated 20% of adults in America will develop varicose veins at some point in life. At Vascular Surgery Medical Group, with offices in San Ramon and San Leandro, California, experienced vascular surgeons, Michael Ingegno, MD, Varinder Phangureh, MD, Lamont Paxton, MD, Robert Gingery, MD, and Abid Mogannam, MD offer minimally invasive solutions to eliminate twisted, bulging leg veins. Customized treatment plans focus on destroying the abnormal vein and improving your blood circulation. Learn how you can treat varicose veins without extended downtime. Call the Vascular Surgery Medical Group office nearest you or book an appointment online today.

Varicose Veins Q & A

What are varicose veins?

Varicose veins are enlarged, twisted veins that bulge above the surface of your skin. This type of damaged vein usually develops in your legs due to venous insufficiency. Dysfunctional valves in the vein allow blood to flow backward and pool in the vein, which causes the vessel to enlarge.

While varicose veins can affect how you feel about the appearance of your legs, the condition can also lead to potentially life-threatening complications, including blood clots, deep vein thrombosis (DVT), and ulcers.

What are the symptoms of varicose veins?

In addition to the noticeable bulge of the veins, you can also experience symptoms that affect your quality of life and mobility. 

Common symptoms of varicose veins include:

  • Aching
  • Itchy skin
  • Burning
  • Muscle cramps

If you develop a blood clot or DVT, you may not have any symptoms, or you may experience a worsening of your pain. 

It’s important that you schedule a diagnostic evaluation of varicose vein-related symptoms with the team at Vascular Surgery Medical Group. They offer an on-site vascular ultrasound to evaluate the vein damage and identify blood clots quickly. 

How are varicose veins treated?

The surgical team at Vascular Surgery Medical Group offers several treatment options to address varicose veins, including vein ablation and microphlebectomy.

Vein ablation

Vein ablation focuses on destroying the affected vein so that the blood can reroute to healthier veins nearby. Dr. Ingegno is highly experienced in vein ablations, performing over 1,000 to date using either radiofrequency energy or laser technology. 

Radiofrequency ablation uses high-frequency radio waves to heat and close the damaged vein. The procedure involves the insertion of a thin fiber that delivers the energy into the vessel.

In endovenous laser treatments (EVLT), ultrasound imaging guides the placement of laser energy to burn the vein and close it off permanently. Your body reabsorbs the treated vein naturally and blood flow moves to nearby veins. 


Microphlebectomy is a minimally invasive surgical technique to remove large varicose veins at the surface of your skin. 

Your provider at Vascular Surgery Medical Group makes tiny incisions to remove the bulging veins. The in-office procedure can take 1-2 hours and requires only a local anesthetic to keep you comfortable. The incisions are small, so you won’t need stitches and there is minimal risk for scars. 

If your varicose veins are painful or you’re unhappy with the appearance of your legs because of the bulging veins, schedule a consultation today by calling the Vascular Surgery Medical Group office nearest you or by requesting an appointment through the online booking system.